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This research is motivated by several problems that: There are several things that have been identified in relation to the implementation of the national health insurance policy on public health services, such as: In supporting the success of health services and reducing health costs for the community, the government in collaboration with PT. Health Insurance holds a Community Health Insurance (Jamkesmas) program. Social Health Insurance services include first-level outpatient care, advanced outpatient care, inpatient care, drug services, childbirth, advanced diagnostic support services, medical equipment and supplement services, operative and non-operative medical procedures, medical rehabilitation services, intensive care Intensive Care Unit (ICU), hemodialysis (dialysis), and emergency services. The method used is a qualitative descriptive method. The results of the study show that: Based on the results of the analysis, it is known that in the service process, both the Jamkesmas pattern and the JKN pattern, are carried out in accordance with the service procedures, namely: self-esteem, meeting expectations (exceed expectations), improvement and rediscovery, forward-looking (vision), continuous improvement (improving), full attention (care, empathy), finally always holding empowerment (empowerment). The obstacles faced by employees in implementing the Jamkesmas and JKN patterns in public health services in Pangandaran Regency are: (1) access to health center services is still limited to certain diseases; (2) the availability of expert personnel is still minimal, (3) the availability of nurses is still limited; (4) the availability of other professional personnel such as pharmacists is still lacking; (5) inpatient facilities are still lacking and so on, which results in less than optimal service. Efforts made by employees in overcoming obstacles when implementing the Jamkesmas and JKN patterns in public health services in Pangandaran Regency are (1) improving access to health center services; (2) adding expert personnel, (3) adding nurses; (4) adding professional personnel; (5) improving inpatient facilities.

Pregnant women are one of the populations at risk of contracting Human Immunodeficiency Virus (HIV), Syphilis, and Hepatitis B. The risk of mother-to-child transmission for HIV/AIDS is 20%-45%, for Syphilis is 69-80%, and for Hepatitis B it is more than 90%. Transmission of HIV, Syphilis and Hepatitis B from mother to child results in morbidity, disability and death. The aim of this research is to determine the relationship between pregnant women's knowledge about Triple Elimination and compliance with examinations at the Tampo Health Center, Banyuwangi Regency in 2023. The research design is a correlation analytical cross sectional study approach, the population is pregnant women in the 2023 Tampo Health Center working area, totaling 390 pregnant women using an accidental sampling technique. .  The number of samples taken was 66 pregnant women. Statistical tests use Chi-Square and Mann-Whitney U with a significance level of 0.05 with SPSS. The research results showed that most of the pregnant women's knowledge about Triple Elimination was in the sufficient category, namely 36 respondents (54.5%), and compliance with the Triple Elimination examination at the Tampo Community Health Center was mostly in the Obedient category, namely 48 respondents (72.7%). There is a relationship between pregnant women's knowledge about Triple Elimination and compliance with examinations at the Tampo Health Center in 2023 (p-Value 0.023 < 0.05). The results of the research can provide additional knowledge so that in the future, if you become pregnant again, you can comply with the Triple Elimination examination and inform pregnant women to carry out the Triple Elimination examination.      

Neonatal tetanus and umbilical cord infections are persistent causes of morbidity and mortality in various countries. Every year 500,000 babies die from neonatal tetanus, and 460,000 babies die from bacterial infections. This research is quantitative using a cross sectional approach. The research population was postpartum mothers in the Tebing Health Center working area in February 2023. Sampling using purposive sampling obtained 38 respondents as samples. The results showed that 16 respondents (42.1%) who had good knowledge carried out open umbilical cord care in the good category, then 18 respondents who had a positive/supportive attitude (47.3%) also carried out open umbilical cord care well. category. In conclusion, there is a significant relationship between knowledge and open umbilical cord care with a p-value of 0.001 α 0.05 and there is a significant relationship between maternal attitudes and open umbilical cord care with a p-value of 0.000 - 0.05. It is hoped that health workers will provide education by practicing open umbilical cord care techniques to increase the knowledge and attitudes of postpartum mothers in caring for the umbilical cord.

Tetanus Toxoid (TT) immunization is the provision of tetanus immunization to women of childbearing age (WUS) or who are pregnant. This action is the easiest and most effective preventative measure against neonatal tetanus. Objective: This study aims to determine the relationship between knowledge and attitudes of prospective brides and grooms regarding the provision of tetanus toxoid (TT) immunization in the Moro Community Health Center UPT Working Area, Moro District. Method: Quantitative research type with a cross sectional approach, total population is 54 populations with total sampling. The questionnaire research instrument and Univariate and Bivariate data analysis used Chi-Square. Results: Characteristics based on age of the 54 prospective bride and groom respondents aged (20-35 years) were 52 (96.3%), 28 (51.9%) had a high school education, 34 (63.0%) did not work. Results: Chi-square analysis shows a p-value of 0.000 (p<0.05) so there is a relationship between the prospective bride's knowledge and tetanus toxoid (TT) immunization and the results of the Chi-square analysis show a p-value of 0.020 (p<0.05 ) so that there is a relationship between the attitude of the prospective bride and the tetanus toxoid (TT) immunization. Conclusion: The bride and groom's knowledge about TT immunization was mostly less than 36 (66.7%) and the bride and groom's attitude about TT immunization was the most negative attitude, 31 (57.4%).

The Indonesian government initiated the Family Planning Program to enhance the welfare of the population, given the high prevalence of couples of reproductive age (CRA). However, the coverage of family planning participants remains at only 57.4% of the total CRA. This research aims to provide an overview of the knowledge levels among family planning acceptors regarding the selection of long-term contraceptive methods (LTCMs) in the working area of Madurejo Health Center. Using a quantitative descriptive approach through a survey method, this study describes the knowledge levels and characteristics of LTCM selection among Madurejo Health Center's clients. The research involved a total of 60 respondents, categorized into LTCM acceptors and non-acceptors. The results indicate that the majority of respondents are aged between 21 and 35 years (46.7%), highly educated (90%), employed (78.3%), and possess a high economic status (63.3%). The most commonly chosen contraceptive methods are implants (28.3%) and IUDs (13.3%). Approximately 58.3% of respondents fall into the category of having moderate knowledge. In conclusion, the majority of family planning acceptors in the Madurejo Health Center area are individuals of reproductive age, with higher education, employment, high economic status, and moderate knowledge of long-term contraceptive methods. It is essential to continually enhance the knowledge and understanding of respondents in selecting suitable contraceptive methods.

Mental health problems that are still of concern to mental health practitioners in Indonesia are serious mental disorders, one of the serious mental disorders that we often encounter and treat is schizophrenia (Mashudi, 2021). According to the World Health Organization (WHO, 2022) there are 300 million people worldwide experiencing mental disorders such as depression, bipolar disorder, dementia, including 24 million people who experience schizophrenia. And one of the most common things found in schizophrenia is the risk of violent behavior. Violent behavior is a response to anger that is expressed by making threats, injuring other people and destroying the environment. To reduce the symptoms of violent behavior, appropriate treatment is needed. One of them is carrying out an implementation strategy. People with mental disorders in Sikka Regency, East Nusa Tenggara, especially in the Kopeta Community Health Center working area, also need nursing actions such as implementation strategies to speed up the healing process and clients can become independent. For this reason, research was carried out by implementing an implementation strategy as the main intervention, because so far only treatment and home visits were carried out but not routinely.

The spiritual and physical care of prisoners is very influential in life, starting from religious life and health. This formation means that all efforts are made to raise awareness and always maintain regularly the existence of religious and health values, with the aim that human behavior always remains within the norm. -good norms. The aim of this research is to find out the implementation of spiritual and physical care for prisoners at the Class IIB Tanjung Pura Narcotics Correctional Institution, the obstacles in implementing spiritual and physical care for prisoners at the Class IIB Tanjung Pura Detention Center and the efforts of the Class IIB Tanjung Pura Detention Center to overcome obstacles in the implementation of spiritual and physical care for prisoners. This research is included in descriptive research with the type of Normative juridical research using qualitative analysis methods. From the results of the research, the Class IIB Tanjung Pura Detention Center fulfills the rights of inmates in the form of providing spiritual care for inmates in the form of religious formation activities and the implementation of worship, while the implementation of physical care in the form of maintaining body fitness through morning exercise, sports, channeling hobbies through art. , recreation with family visits as well as support in providing proper and adequate nutrition and health care. The obstacles experienced by the Class IIB Tanjung Pura Detention Center in fulfilling the right to spiritual and physical care include the limited budget of the Class IIB Tanjung Pura Detention Center, human resources in terms of quality and quantity, and the facilities at the Class IIB Tanjung Pura Detention Center are inadequate. The efforts of the Class IIB Tanjung Pura Detention Center to overcome obstacles in implementing spiritual and physical care for prisoners include maximizing the use of the budget of the Class IIB Tanjung Pura Detention Center, providing training and using the services of lecturers, maximizing the facilities of the Class IIB Tanjung Pura Detention Center.

Dementia or senility is an aging process so it is considered a normal thing and if dementia is not prevented or treated it will have an impact such as a decrease in cognitive function. Cognitive function is mental and intellectual abilities and memory. Cognitive function ability was measured using the MMSE (Mini Mental State Examination) questionnaire which consisted of 11 questions. Efforts to improve cognitive function one of them with classical music therapy. This case study aims to describe the application of classical music therapy to improve cognitive function in the elderly at the Sekaran Health Center in Semarang. This case study uses a type of case study with a descriptive approach. The subjects of this case study used 2 people with inclusion criteria: age between 60-74 years, able to communicate well, elderly with mild dementia (MMSE score 24-30) and moderate (probable) MMSE score 17-23, elderly who are cooperative and can read and write, the elderly who are not hearing impaired. This case study was conducted 4 meetings over 2 weeks. The results of this case study showed an increase in cognitive function felt by both subjects. Subject I from a score of 22 (probable cognitive disorder) to 28 (normal). Subject II from a score of 19 (probable cognitive disorder) to 25 (normal). Classical music therapy in conclusion can improve the cognitive function of elderly people with dementia and is recommended as an effective therapy application in improving cognitive function.

According to WHO (2019), the maternal mortality rate (MMR) in the world is 303,000 people. The Maternal Mortality Rate (MMR) in ASEAN (2020) is 235/100,000 live births. Based on data from the Ministry of Health, the Maternal Mortality Rate (MMR) in Indonesia in 2020 was 4,627 deaths. Health Department data (2021) MMR 62 cases. Data from Bumiayu Community Health Center (2022) AKI 2 cases. The aim of this research is to reduce maternal and infant morbidity and mortality rates in Brebes Regency, especially the Bumiayu Community Health Center area. This research method uses descriptive research with a qualitative descriptive approach. The results of this research show that in the results of Comprehensive Care there was a gap between theory and practice after comprehensive midwifery care was carried out on Mrs. E is 39 years old with risk factors for CED age and anemia in Mrs. BPM. R working area of Bumiayu Health Center from third trimester pregnancy, childbirth, newborns, postpartum and family planning using Varney midwifery and SOAP approaches.

Background: Aging in human life is a natural thing, and must be experienced by all older people. Elderly is a phase characterized by the onset of weakness in the body and susceptibility to disease. Hypertension occurs over the age of 60 (55%.) Changeable factors such as knowledge. The aim of this study was to determine the relationship between the level of knowledge and hypertension in the elderly at the Lerep Community Health Center. Method: This research was conducted in February 2024 using a cross-sectional with 30 respondents. The level of knowledge as the independent variable, and hypertension in the elderly as the dependent variable. The instrument uses a questionnaire. Data analysis using the Kendal Tau test. Results: %. The results of the Kendal Tau statistical test obtained a p-value of 0.001<0.05, which means that there is a relationship between the level of knowledge and the incidence of hypertension in the elderly at the Lerep Community Health Center. Conclusion: the majority of respondents were aged 60-69 years (73.4%), 60% male, p-value 0.001, which means that there is a relationship between the level of knowledge and the incidence of hypertension. Suggestions for elderly people with hypertension can increase knowledge about managing hypertension.    

Background: World Health Organization (WHO) in 2020 the maternal mortality rate (MMR) in the world is 152 deaths per 100,000 live births. In ASEAN, the highest MMR in 2020 is in Myanmar, which is 235 per 100,000 live births. The maternal mortality rate in Brebes Regency in 2020 was 62 cases. In the Bantarkawung Health Center working area in 2020 there was 1 case, in 2021 there were 5 cases. Objective: To provide comprehensive midwifery care services to Mrs. N Age 19 Years G1P0A0 with Risk Factors Age <20 Years at the Bantarkawung Health Center, Brebes Regency with a midwifery management approach according to Varney's seven steps and SOAP.  Research method: This study uses descriptive qualitative research with a case study design. The Scientific Writing assignment report is written based on a case report of comprehensive midwifery care in pregnant women, childbirth, newborns, and postpartum using the type of case review study research method. Results: The results of comprehensive midwifery care are the absence of gaps between theory and practice where according to the theory pregnant women with a young age <20 years will experience several risks such as in any.N who experienced a short TFU of 28 cm. Conclusion: After conducting an assessment and collecting data on comprehensive midwifery care on Mrs. N with risk factors for age <20 years at the puskesmas from third trimester pregnancy.

Complementary food (MP-ASI) is very important for babies after the age of 6-24 months, because breast milk no longer provides the nutrients needed. In this case, the mother's knowledge of MP-ASI is very influential. The relationship between maternal characteristics and knowledge about providing MP-ASI includes maternal knowledge, maternal age, maternal education, maternal occupation and family income. The aim of the research is to analyze the relationship between maternal characteristics and knowledge about giving local breast milk and manufactured breast milk to babies aged 6 - 24 months in independent practice midwives in the working area of Kotabaru Health Center, Bekasi City in 2023. This research uses Observational Analytical research with a Cross-Sectional research design. The population in this study were mothers who had babies aged 6-24 months in Independent Practice Midwives in the Kotabaru Health Center Work Area, Bekasi City, totaling 99 respondents. The sample used was total sampling. The instrument used in this research is a structured interview which is guided by a checklist which has been tested with validity and reliability tests. The research results from a sample of 99 respondents showed that 70 respondents (70.7%) gave high levels of MP-ASI, 24 respondents (24.2%) gave moderate MP-ASI, and 5 respondents gave low levels of MP-ASI. respondents (5.1%). The chi square test with a significance level of 95% or ɑ = 0.05 obtained a value of p = 0.038 < 0.05. This shows that there is a relationship between maternal knowledge and the provision of MP-ASI to babies aged 6-24 months in independent practice midwives in the working area of Kotabaru Health Center, Bekasi City in 2023.

The Akle Health Center of Kupang Regency always strives to serve the community well.well in all care needs including curative services(treatment), preventive (prevention efforts), promotive (health improvement)and rehabilitation (health restoration) with the hope that patients who obtain health services feel satisfied with the services provided.The purpose of this study is to determine the effectiveness of health services at the Akle Health Center, Kupang Regency, and to find out the inhibiting factors for the effectiveness of health services at the Akle Health Center, Kupang Regency. The type of research conducted is empirical juridical research. The types and sources of data used are primary and secondary data. Primary data is data obtained directly from the research location through direct interviews with respondents and based on researcher observations.Secondary data is data obtained from literature studies.Data analyzed descriptively qualitative. The results of this study indicate that: (1) The Effectiveness of Health Services at Puskesmas Akle Kupang Regency are: (a) Implementation of Health Services at Puskesmas Akle Kupang Regency, (b) Implementation of Preventive Health Services, (c) Implementation of Promotive Health Services, (d) Implementation of Curative Health Services, (e) Implementation of Rehabilitative Health Services. (2) Factors inhibiting the effectiveness of health services at the Akle Health Center, Kupang Regency are: (a) Human Resources, (b) Infrastructure Facilities, (c) System factors, Procedures and Regulations, (d) Skills.       

Home care is a comprehensive service for individuals and families at home which aims to minimize the impact of disease and increase the independence of patients and families in the care and treatment of family members who experience health problems. Patient satisfaction with health services is something that needs to get attention from providers. health services in carrying out their role, while obstacles are still found in homecare services. The aim is to determine the level of patient satisfaction with homecare services. Research method This type of research uses a descriptive research design with a survey method. This research was conducted in the Baula Community Health Center working area with a sample size of 30 respondents. The results of this research show that the level of patient satisfaction with homecare services in the Baula Community Health Center working area was that most respondents were satisfied, namely 83.3%. Conclusion Patient satisfaction is an important indicator of quality nursing services.

The problems faced in this study include (1) How does the workload affect the performance of immunization officers at the Health Center in the Working Area of the Banjar City Health Office? (2) What is the effect of training education on the performance of immunization officers at the Health Center in the Working Area of the Banjar City Health Office? (3) How does workload and training education affect the performance of immunization officers at the Health Center in the Working Area of the Banjar City Health Office? This study aims to study, know, and analyze (1) The effect of workload on the performance of immunization officers at health centers in the working area of the Banjar City Health Office. (2) The effect of education and training on the performance of immunization officers at the Health Center in the Working Area of the Banjar City Health Office. (3) The effect of workload and training education on the performance of immunization officers at the Health Center in the Working Area of the Banjar City Health Office. The method used in this study is an explanatory survey, while the data analysis technique is validity test, reliability test, descriptive statistics, Inductive Statistical Analysis with Multiple Regression. The results of the study inform that (1) The workload at the Health Center in the work area of the Banjar City Health Office is very high. With the highest score on the physical demand indicator and the lowest score on the task demand indicator. The workload has a positive effect on the performance of immunization officers at the Health Center in the work area of the Banjar City Health Office. This means that if the workload is increased, the performance of immunization officers at the Health Center in the work area of the Banjar City Health Office will also increase. (2) Training education at Puskesmas in the work area of the Banjar City Health Office is very high. With the highest score on the behavior indicator and the lowest value on the reaction indicator. Training education has a positive effect on the performance of immunization officers at health centers in the work area of the Banjar City Health Office. This means that if training education is improved, the performance of immunization officers at health centers in the work area of the Banjar City Health Office will also increase. (3) The performance of immunization officers at the Health Center in the work area of the Banjar City Health Office is very high. With the highest value on the quantity indicator produced and the lowest value on the reaction indicator. Workload and training education have a positive effect on the performance of immunization officers at the Health Center in the work area of the Banjar City Health Office. This means that if the workload and training education are increased, the performance of immunization officers at the Health Center in the work area of the Banjar City Health Office will also increase.

The problems faced in this study include (1) How does managerial competence affect employee performance at the Sambongpari Health Center, Tasikmalaya City? (2) What is the effect of motivation on employee performance at the Sambongpari Health Center, Tasikmalaya City? (3) How does managerial competence and motivation affect employee performance at the Sambongpari Health Center, Tasikmalaya City?. This study aims to study, know, and analyze (1) The influence of managerial competence on employee performance at the Sambongpari Health Center, Tasikmalaya City. (2) The effect of motivation on employee performance at the Sambongpari Health Center, Tasikmalaya City. (3) The influence of managerial competence and motivation on employee performance at the Sambongpari Health Center, Tasikmalaya City. The method used in this study is explanatory survey, while the technical data analysis is validity test, reliability test, descriptive statistics, Inductive Statistical Analysis (Inferential) with Multiple Regression. The results of the study inform that (1) Managerial competence has a positive effect on employee performance at the Sambongpari Health Center, Tasikmalaya City. This means that if managerial competence is improved, the performance of employees at the Sambongpari Health Center in Tasikmalaya City will also increase. (2) Motivation has a positive effect on employee performance at the Sambongpari Health Center, Tasikmalaya City. This means that if motivation is increased, the performance of employees at the Sambongpari Health Center in Tasikmalaya City will also increase. (3) Managerial competence and motivation have a positive effect on employee performance at the Sambongpari Health Center, Tasikmalaya City. This means that if managerial competence and motivation are improved, the performance of employees at the Sambongpari Health Center in Tasikmalaya City will also increase.

Online consultation is an idea from e-government in the health services sector that uses technology to integrate health services at Community Health Centers. The aim is to simplify bureaucratic processes in health services to the community. In practice, there are still several obstacles that arise, such as a lack of outreach efforts, slow response times from consultations, and recording that is not automatic because it still relies on WhatsApp. The aim of this research is to determine the effectiveness of "online consultation" to improve the quality of public services at the Pondok Betung Community Health Center, South Tangerang City. The method in this research is a qualitative method with a descriptive approach. Data collection techniques using observation, interviews and documentation as complements. This research was analyzed using 4 (four) indicators of effectiveness, namely: (1) Accuracy of Program Targets, (2) Program Socialization, (3) Achievement of Program Objectives, and (4) Program Monitoring. The research results show that the effectiveness of the "online consultation" service at the Pondok Betung Community Health Center has not been achieved because there are still many people who do not know the information about this service. The socialization program for this service is not yet optimal because many people are still not aware of its existence. The program's objectives have also not been achieved well because the "online consultation" service has not been running smoothly and only a small number of people are using it. From the results of this research, it is concluded that online health services at the Pondok Betung Community Health Center, South Tangerang City have not reached the expected level of effectiveness.

Baby blues syndrome occurs in mothers after giving birth, which has an impact on both the mother and the baby. Many factors cause baby blues such as lack of mental preparation to become a mother due to young age and inexperience, the number of children a mother has causes susceptibility to suffer from baby blues. The purpose of this research was to find out the factors related to the occurrence of baby blues syndrome at the Teling Community Health Center Of Manado. This type of research is observational analytic with a cross-sectional approach. The sampling technique used simple random sampling with a total of 59 respondents. Data were collected using the Edinburgh Postpartum Depression Scale (EPDS) questionnaire. The collected data were processed with the help of the SPSS computer program, data analysis with the Chi Square Test with a significance level of α 0.05. The results of the study showed that there was a correlation between age and Blues Syndrome at the Teling Community Health Center (P value 0.000 < α 0.05). There was a correlation between parity and Blues Syndrome at the Teling Manado Community Health Center (P value 0.008 < α 0.05). The conclusion of this study is that there is a correlation between age and parity with Blues Syndrome at the Teling Health Center. It is suggested to nurses as caregivers to not only meet physical needs but also psychological needs, especially identifying abnormal deviations as early as possible and collaborating with other health teams in meeting emotional needs through providing counseling, bonding attachment between mothers and their babies during the postpartum period so that mothers get good health and healthy babies.

Background: Diabetes mellitus, also abbreviated as DM, is a non-communicable disease whose number of sufferers is increasing. DM (diabetes) sufferers are not only the elderly but also many people of productive age. The Jembrana District Health Service noted that DM is a disease that is included in the top 10 most common diseases in hospitals and health centers in Jembrana. A total of 6,740 DM patients have been registered and controlled at community health centers in Jembrana. Melaya, one of the sub-districts in Jembrana, recorded that during 2020 there were 782 cases recorded. Methods: This type of research is a pre-experimental design using one group pre-test and post-test design. The research location is the Kerta Semaya Samaniya Jembrana Cooperative, Bali. The sampling method was nonprobability sampling using the consecutive method. The total research sample was 38 respondents. The data collection tools used are DKQ and DSMQ. The data analysis used is univariate analysis, bivariate analysis using the Willcoxon Rank Test. Results: Most respondents had poor knowledge and attitudes in the prevention of diabetes mellitus before the intervention, and there was an increase in knowledge and attitudes after respondents were given an audiovisual-based health education intervention. There is an influence of audiovisual-based health education with p = 0.000 (p<0.05), thus it can be concluded that there is a significant difference in knowledge and attitudes between before and after providing audiovisual-based educational videos. Conclusion: Providing audiovisual-based health education about preventing diabetes mellitus has proven to be effective in increasing knowledge and attitudes in preventing diabetes mellitus.  

This study explores the role of contact investigation (CI) in detecting suspected tuberculosis (TB) cases in Babussalam District, Southeast Aceh Regency, in 2023. The focus is on empowering health cadres through simulation, practice, and mentoring in TB case investigation. A total of 20 health cadres were trained to conduct the investigation, resulting in tracing of 5 index cases, 57 households, and 217 individuals. Activities included case assessment, home visits, TB screening, education, mentoring, monitoring, and reporting. Recommendations encompass the application of knowledge and skills acquired by health cadres in TB management, while maintaining close coordination with local health centers and government authorities.